EP3245945A3 - Vorrichtung zur beatmung eines patienten - Google Patents

Vorrichtung zur beatmung eines patienten Download PDF

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Publication number
EP3245945A3
EP3245945A3 EP17171378.7A EP17171378A EP3245945A3 EP 3245945 A3 EP3245945 A3 EP 3245945A3 EP 17171378 A EP17171378 A EP 17171378A EP 3245945 A3 EP3245945 A3 EP 3245945A3
Authority
EP
European Patent Office
Prior art keywords
patient
providing ventilation
present technology
technology relates
changing
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP17171378.7A
Other languages
English (en)
French (fr)
Other versions
EP3245945A2 (de
EP3245945B1 (de
Inventor
Klaus Henry Schindhelm
Gordon Joseph Malouf
Steven Paul Farrugia
Clancy John DENNIS
Michael Berthon-Jones
David John Bassin
Helmut TESCHLER
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Resmed Pty Ltd
Original Assignee
Resmed Pty Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from AU2011904599A external-priority patent/AU2011904599A0/en
Application filed by Resmed Pty Ltd filed Critical Resmed Pty Ltd
Publication of EP3245945A2 publication Critical patent/EP3245945A2/de
Publication of EP3245945A3 publication Critical patent/EP3245945A3/de
Application granted granted Critical
Publication of EP3245945B1 publication Critical patent/EP3245945B1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0051—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes with alarm devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4866—Evaluating metabolism
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M16/0006—Accessories therefor, e.g. sensors, vibrators, negative pressure with means for creating vibrations in patients' airways
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A61M16/0066—Blowers or centrifugal pumps
    • A61M16/0069—Blowers or centrifugal pumps the speed thereof being controlled by respiratory parameters, e.g. by inhalation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022—Control means therefor
    • A61M16/024—Control means therefor including calculation means, e.g. using a processor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/105—Filters
    • A61M16/106—Filters in a path
    • A61M16/107—Filters in a path in the inspiratory path
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/024—Measuring pulse rate or heart rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/0816—Measuring devices for examining respiratory frequency
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/085—Measuring impedance of respiratory organs or lung elasticity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/087—Measuring breath flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/1075—Preparation of respiratory gases or vapours by influencing the temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
    • A61M16/16—Devices to humidify the respiration air
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0015—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
    • A61M2016/0018—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0036—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the breathing tube and used in both inspiratory and expiratory phase
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0039—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the inspiratory circuit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502—User interfaces, e.g. screens or keyboards
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/20—Blood composition characteristics
    • A61M2230/205—Blood composition characteristics partial oxygen pressure (P-O2)

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Emergency Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Optics & Photonics (AREA)
  • Spectroscopy & Molecular Physics (AREA)
  • Obesity (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Ventilation (AREA)
EP17171378.7A 2011-11-07 2012-11-07 Vorrichtung zur beatmung eines patienten Active EP3245945B1 (de)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
AU2011904599A AU2011904599A0 (en) 2011-11-07 Methods and Apparatus for Providing Ventilation to a Patient
AU2012902501A AU2012902501A0 (en) 2012-06-15 Methods and Apparatus for Providing Ventilation to a Patient
AU2012902693A AU2012902693A0 (en) 2012-06-26 Methods and Apparatus for Monitoring and Treating Respiratory Insufficiency
EP12846933.5A EP2776101B1 (de) 2011-11-07 2012-11-07 Vorrichtung zur beatmung eines patienten
PCT/AU2012/001367 WO2013067580A1 (en) 2011-11-07 2012-11-07 Methods and apparatus for providing ventilation to a patient

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
EP12846933.5A Division EP2776101B1 (de) 2011-11-07 2012-11-07 Vorrichtung zur beatmung eines patienten

Publications (3)

Publication Number Publication Date
EP3245945A2 EP3245945A2 (de) 2017-11-22
EP3245945A3 true EP3245945A3 (de) 2018-02-28
EP3245945B1 EP3245945B1 (de) 2020-07-22

Family

ID=48288369

Family Applications (2)

Application Number Title Priority Date Filing Date
EP17171378.7A Active EP3245945B1 (de) 2011-11-07 2012-11-07 Vorrichtung zur beatmung eines patienten
EP12846933.5A Active EP2776101B1 (de) 2011-11-07 2012-11-07 Vorrichtung zur beatmung eines patienten

Family Applications After (1)

Application Number Title Priority Date Filing Date
EP12846933.5A Active EP2776101B1 (de) 2011-11-07 2012-11-07 Vorrichtung zur beatmung eines patienten

Country Status (3)

Country Link
US (3) US9597468B2 (de)
EP (2) EP3245945B1 (de)
WO (1) WO2013067580A1 (de)

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EP3245945B1 (de) * 2011-11-07 2020-07-22 ResMed Pty Ltd Vorrichtung zur beatmung eines patienten
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NZ750402A (en) * 2014-06-10 2020-08-28 ResMed Pty Ltd Method and apparatus for treatment of respiratory disorders
WO2016017651A1 (ja) * 2014-07-29 2016-02-04 コーケンメディカル株式会社 心肺蘇生システム、心肺蘇生器及び人工呼吸器
US20160279359A1 (en) * 2015-02-25 2016-09-29 Taichung Veterans General Hospital Inductive Breathing Mask and Respiratory Care System Thereof
US11065408B2 (en) * 2015-10-05 2021-07-20 UNIVERSITé LAVAL Method for delivery of breathing gas to a patient and system for performing same
JP6941095B2 (ja) 2015-10-12 2021-09-29 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 古典的フィードバック制御を用いる患者の呼吸仕事量を自動制御する機械式換気
AU2017252643B2 (en) * 2016-04-19 2022-04-14 Inspire Medical Systems, Inc. Accelerometer-based sensing for sleep disordered breathing (SDB) care
US10857399B2 (en) 2016-06-22 2020-12-08 Lucca Ventures, Inc. Patient respiratory mask with integrated microphone and method of patient communication utilizing the same
JP6273466B2 (ja) * 2016-08-03 2018-02-07 株式会社メトラン 呼吸補助プログラム、呼吸補助装置
US20180071468A1 (en) * 2016-09-13 2018-03-15 Resmed Limited Respiratory augmentation device
US20180082033A1 (en) * 2016-09-22 2018-03-22 At&T Intellectual Property I, L.P. Method and apparatus for controlling an artificial respiratory device via a network
CA3040975C (en) * 2016-10-21 2023-09-05 Novaresp Technologies Inc. Method and apparatus for breathing assistance
EP3634555B1 (de) 2017-05-12 2023-05-10 ResMed Pty Ltd Vorrichtung zur behandlung von atemwegserkrankungen
JP7145885B2 (ja) * 2017-05-24 2022-10-03 コーニンクレッカ フィリップス エヌ ヴェ 圧力摂動を使用する呼気流量制限の検出
USD917039S1 (en) * 2018-02-01 2021-04-20 Resvent Medical Technology Co., Ltd Positive airway pressure assembly
EP3588082A1 (de) * 2018-06-29 2020-01-01 Spécialités Pet Food Vorrichtung zum testen des schnüffelns eines tieres und verfahren mit dieser vorrichtung
JP7342131B2 (ja) 2018-09-14 2023-09-11 ソラシス ソラシック メディカル システムズ インコーポレイテッド 自己使用オシロメトリデバイス
JP2022507035A (ja) 2018-11-10 2022-01-18 ノバレスプ テクノロジーズ インコーポレイテッド 呼吸不全の検出および／または予測のための気道内圧の継続的管理のための方法および装置
US11318237B2 (en) 2019-02-06 2022-05-03 Separation Design Group Llc Integrated extracorporeal oxygenation and CO2 removal with ventilation system
SG11202110229PA (en) 2019-03-21 2021-10-28 Fisher & Paykel Healthcare Ltd A respiratory device for providing bubble cpap
US11554238B2 (en) * 2019-05-30 2023-01-17 Inogen, Inc. Concentrator with electronic handheld remote delivery device
CN218890023U (zh) * 2019-09-09 2023-04-21 费雪派克医疗保健有限公司 呼吸治疗系统的装置、婴儿复苏治疗设备和呼吸治疗设备
USD940729S1 (en) 2019-09-10 2022-01-11 Fisher & Paykel Healthcare Limited Display screen of a respiratory support apparatus or portion thereof with graphical user interface
WO2021168588A1 (en) 2020-02-26 2021-09-02 Novaresp Technologies Inc. Method and apparatus for determining and/or predicting sleep and respiratory behaviours for management of airway pressure
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US12420045B2 (en) 2022-03-15 2025-09-23 GE Precision Healthcare LLC System and method for patient-ventilator synchronization/onset detection utilizing time-frequency analysis of EMG signals

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Publication number Publication date
EP3245945A2 (de) 2017-11-22
US9597468B2 (en) 2017-03-21
US20140290658A1 (en) 2014-10-02
EP2776101B1 (de) 2017-05-17
US10668237B2 (en) 2020-06-02
EP2776101A1 (de) 2014-09-17
US20170333652A1 (en) 2017-11-23
WO2013067580A1 (en) 2013-05-16
EP3245945B1 (de) 2020-07-22
US20200330708A1 (en) 2020-10-22
EP2776101A4 (de) 2015-08-26

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